Paula's Perspicacity

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Tenley and I had to stop for gas en route to UF Health in the earliest hours of Christmas Day. I had been told by an ICU nurse “if it were my mom I would come,” so we drove as rapidly as we could to Gainesville.

When we arrived at the hospital, my mom was on BiPap for her extreme respiratory distress. Over a course of several hours, the medical personnel tried different percentages of oxygen, various sizes of masks, and a spectrum of treatments to try to relieve her breathing.

When nothing they had tried worked, they brought up the topic of intubation.

Doctors had a conversation with my dad and my mom that went something along the lines of “you have said you don’t want extraordinary measures taken to prolong your life. You don’t want chest compressions but you are okay with being intubated?”

PLACEHOLDER FOR A DIFFERENT BLOG AT A DIFFERENT TIME: BEING INTUBATED *IS* AN EXTRAORDINARY MEASURE. AS A PHYSICIAN TOLD ME A FEW DAYS LATER (this is my paraphrase….) “THEY’RE PART OF THE SAME SET OF DECISIONS.”

Once the decision had been made to intubate, we had to leave the room.

In a daughter-of-the-year move, I didn’t say anything deep or profound. I waved the Baby Ruth bar in her face (the one she couldn’t eat because a) her dentures were out b) her oxygen levels were plummeting to near-fatal levels and c) there was a mask over her mouth) and said “I brought you a Baby Ruth bar. I’ll save it for you!”

(Getting a Baby Ruth bar in the Christmas stocking was a treat my grandfather gave my mom every year when she was young and times were harder than they are now. The tradition has extended to our home — Wayne/Santa puts one in my stocking every year.)

I thought “is my mom’s last memory of me going to be having a Baby Ruth bar waved in her face?”

I ended up eating the Baby Ruth bar myself sometime in the haze of the days that followed.

She was relieved of that breathing tube within a few days, then reintubated for another 24-48 hours. She was moved from Cardiac ICU to Medical ICU, then to a regular room, and then sent to Lake Butler Hospital for rehab. That lasted several weeks. After being home approximately 24 hours, she fell and broke her wrist, landing her back in the hospital (North Florida Regional).

I had a nice visit with her on Sunday, February 11. I left her birthday card on the bedside table, thinking I would not make it back to the hospital before her 88th birthday on February 15. The breathing issues came back with a vengeance on February 13 and a decision was made not to reintubate her. She died that evening. I found the birthday card in a bag containing her belongings after she died.

We don’t know what to do when our loved ones are facing odds that seem at the time to be insurmountable.

Sometimes the choices we make have more to do with what we need in order to try to make sense of the unimaginable rather than what the loved one needs.

My mom loved the Serenity Prayer:

God, grant me the serenity to accept the things I cannot change

,Courage to change the things I can,

And wisdom to know the difference.

It was not a serene moment for any of us when I attempted to explain the Baby Ruth in my hands to a woman whose oxygen level was precipitously low. It was a moment (as were many over the course of her illness) when she exhibited the courage to keep trying to be a part of this world.

One time when I was a teenager and devastated over a relationship loss, she said “it doesn’t matter.” Those three words did come from her deep well of wisdom, but I railed against them for years. Maybe the thing is that I am dogged about change, in the world and in myself. “It doesn’t matter” is absent from my vocabulary probably much more often than it should be for my peace of mind.

I don’t know if she ever registered the Baby Ruth bar. I don’t know if anyone ever read her the birthday card.

It matters that she and I, over a lifetime, tried to find some middle ground between what matters and what doesn’t.